Yamagata International Documentary Film Festival
Hotel Reservation Form
Please print out this Reservation form, and send it by fax or post.

Name:   Sex:
  Age:
Address:   Phone:
  Fax:
Company:   Phone:
  Fax:


Hotel Name:
Type: [ ] Single / [ ] Twin Breakfast: [ ] Yes / [ ] No
* If you prefer to share a Twin room
with someone, please write his/her name.

Dates (Please circle you wish to stayin the hotel)
Oct. 9 Oct. 10 Oct. 11 Oct. 12 Oct. 13 Oct. 14 Oct. 15 Oct. 16
               

Credit Info (Please check one)
[ ] VISA / [ ] American Express
[ ] Master Card / [ ] Other ( )
Name of
the card holder
Card number Expiration
(date/year)
  /


Signature:
Deadline: Friday, Sep. 19
Inquiries:
JTB for YIDFF 2003 Hotel Reservations
2-17-16 6F Kiba, Koto-ku, Tokyo 135-8505, JAPAN
fax: +81-3-5245-8842